Individual
DEREK DOUGLAS BOTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
103 BRITTON DR, SILSBEE, TX 77656-3828
(409) 550-8873
Mailing address
103 BRITTON DR, SILSBEE, TX 77656-3828
(409) 550-8873
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2056408
TX
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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